Question

A 41-year-old man presents with severe headache, neck stiffness, photophobia, and is hypotensive. After immediate antibiotics, what is the most appropriate investigation in hospital?

Accepted Answer

CT head before LP if focal neurology or reduced GCS

Answer

Immediate LP without imaging in all cases

Answer

MRI brain for all

Answer

No LP ever if antibiotics given

Answer

Sinus CT

Practice question

A 41-year-old man presents with severe headache, neck stiffness, photophobia, and is hypotensive. After immediate antibiotics, what is the most appropriate investigation in hospital?